Newberry OB GYN, P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0474 Issued in SC

Legal business name

NEWBERRY OB GYN, P.A.

Practice address

2520 Evans St
Newberry, SC 29108-2940

Phone

(803) 276-4422

Fax

(803) 276-1592

NPI assigned

Feb 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen F Dyke, D.O.NPI 1558328732

Title

President

Phone

(803) 276-4422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Federick Dyke, D.O.

  • Obstetrics & Gynecology Physician
  • Newberry, SC
  • NPI 1558328732
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 EVANS ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082940",
            "telephone_number": "803-276-4422",
            "fax_number": "803-276-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 EVANS ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082940",
            "telephone_number": "803-276-4422",
            "fax_number": "803-276-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY OB GYN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-276-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "0474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1786",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newberry Family Health Center
• Newberry Family Health Center PA
• Newberry Family Health Center PA
• Newberry Internal Medicine LLC
• Newberry Medical Associates
• Newberry Oncology Associates
• Newberry Operator LLC
• Newberry Pathology Associates PA
• Newberry Physical Therapy and Sports Medicine Clinic Inc
• Newberry Surgical Associates PA

• Obstetrics & Gynecology Physician in Newberry, SC
• Providers in Newberry, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.